Reference Check

Please note the following: you must complete the following fields or the form will not submit.

Under our privacy policy, your answers/comments are protected and will not be disclosed to candidates.

The subject of this reference check has given us their signed authority to gather this information.

Thank you for your cooperation.

Your name
Your position
Your phone number
Employer name
Candidate name
1.Please confirm the candidate's employment details:
Dates of employment? From (mth/yr)    To (mth/yr)
Position and major responsibilities?
Earnings?
2.What was the candidate's reason for leaving?
Please add any additional comments if required:
3.What was the candidate's learning curve; did they learn new tasks easily?
Please add any additional comments if required:
4.What was the candidate's rate or pace of work?
Please add any additional comments if required:
5.What was the level of supervision required?
Please add any additional comments if required:
6.Were there any personal problems that interfered with work?
If yes, please specify:
7.What was the candidate's level of punctuality?
Please add any additional comments if required:
8.Use of sick leave?
Please add any additional comments if required:
9.How was the candidate's time management?
Please add any additional comments if required:
10.Were there any employment warnings or cautions?
If yes, please specify:
11.How were the candidate's interpersonal skills?
Please add any additional comments if required:
12.What was the quality of the candidate's work?
Please add any additional comments if required:
13.Was the candidate persistent in seeing a task through?
If no, please specify:
14.What was the candidate's level of initiative?
Please add any additional comments if required:
15.Did you have any reason to doubt the candidate's honesty or integrity?
If yes, please specify:
16.Would you re-hire this candidate?
If no, please specify:
17.Limitations: were there any areas where performance did not meet job requirements?
If yes, please specify:
18.How did the candidate handle disappointment?
Please add any additional comments if required:
19.Did the candidate demonstrate an openness to constructive feedback/criticism?
If no, please specify:
20.Did the candidate display any particular strengths?
If yes, please specify:
21.Generally, how satisfied were you with the candidate's performance?
If you were dissatisfied, please specify:
If you would like to make any additional comments, please do so below:

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